Renew Aesthetics LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RENEW AESTHETICS LLC

Practice address

1008 E University Dr
Granger, IN 46530

Phone

(574) 318-4148

NPI assigned

Jun 15, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Philip Bemiller, MD

Title

Owner

Phone

(574) 206-6816

Specialties & licenses 1

Addresses

Other names 1

• Rouge Aesthetics Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1720718331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 N 300 E",
            "city": "LEESBURG",
            "state": "IN",
            "postal_code": "465389124",
            "telephone_number": "574-206-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 E UNIVERSITY DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "46530",
            "telephone_number": "574-318-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "BEMILLER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-206-6816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rouge Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Granger, IN
• Providers in Granger, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.